Individual provider Active NPI

David Spengler, OD

  • Optometrist
  • Southport, CT
National Provider Identifier
1225624448
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009269-01 Issued in NY
Practice address
2600 Post Road
Southport, CT 06890
Phone
(203) 255-4005
NPI assigned
Dec 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009269-01 NY Primary

Addresses

Primary practice location

2600 Post Road
Southport, CT 06890

Mailing address

4 Sherry St
Norwalk, CT 06851-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002163 NY Practitioner - Optometry 9638570302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Optometry PLLCGroup PAC ID 0042745135, 2 clinicians
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

17 Long Ave
Suite 102
Hamburg, NY 14075-6200
Phone (716) 831-2717

918 James St
Syracuse, NY 13203-2503
Phone (646) 921-1738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009269NYMDMental Health Counselor
TUV009269-01NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Best Vision, Inc Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Nov 9, 2024 Accepting new patients
Evergreen Optometry PLLC Optometrist CurrentSince Dec 12, 2023 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

17 Long Ave
Ste 102
Hamburg, NY 14075
Phone (716) 831-2717

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1225624448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHERRY ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POST ROAD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "06890",
            "telephone_number": "203-255-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENGLER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009269-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

Verify at the official NPI Registry.